HESI RN Exit Exam Capstone

Questions 101

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

The nurse is caring for a client with an exacerbation of chronic obstructive pulmonary disease (COPD). Which intervention is most important to promote effective breathing?

Correct Answer: A

Rationale: Diaphragmatic breathing helps improve lung expansion and oxygen exchange, promoting more effective breathing in clients with COPD. Increasing oxygen flow rate is not always appropriate and can worsen hypercapnia in these clients.

Question 2 of 5

A client with a colostomy is being discharged. What teaching is most important for the nurse to provide?

Correct Answer: C

Rationale: Emptying the ostomy pouch when it's one-third full prevents leakage and skin irritation.

Question 3 of 5

A client is newly prescribed lithium for bipolar disorder. Which finding is most important to report to the healthcare provider?

Correct Answer: B

Rationale: Fine hand tremors are an early sign of lithium toxicity, and the healthcare provider should be notified to adjust the dose or monitor serum levels more closely.

Question 4 of 5

The nurse is performing an assessment on a client in congestive heart failure. Auscultation of the heart is most likely to reveal

Correct Answer: A

Rationale: An S3 ventricular gallop is typically heard in clients with congestive heart failure due to fluid overload.

Question 5 of 5

A client scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. Which intervention has the highest priority in preparing the client for the procedure?

Correct Answer: C

Rationale: Encouraging the client to write down questions allows the nurse to address concerns systematically, reducing anxiety. This approach is empowering and ensures that all concerns are covered before the procedure, reducing the risk of miscommunication or unaddressed fears.

Similar Questions

A client scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. Which intervention has the highest priority in preparing the client for the procedure?
A client with heart failure is experiencing shortness of breath and swelling in the legs. What is the nurse's priority intervention?
At 0600 while admitting a woman for a scheduled repeat cesarean section, the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. Which action should the nurse take first?
The nurse is caring for a client with acute pancreatitis who is reporting severe abdominal pain. Which nursing intervention should the nurse implement first?
The nurse is caring for a client with chronic obstructive pulmonary disease (COPD) who is receiving oxygen therapy. Which assessment finding indicates that the client's oxygenation is improving?

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